Active NPIIndividual provider

Cleveland N Cockerham Jr.

Counselor in Yadkinville, North Carolina

NPI Number1104195270
Practice location
320 E Lee Ave, Yadkinville, NC 27055-8132
Fax
—
Last updated
December 20, 2011

Cleveland Nathaniel Cockerham is a Counselor based in Yadkinville, NC. Cleveland Nathaniel Cockerham practices in Yadkinville, NC. The NPI Number for Cleveland Nathaniel Cockerham is 1104195270. The current practice location address for Cleveland Nathaniel Cockerham is 320 E Lee Ave, Yadkinville, NC 27055-8132 and can be reached out via phone at 704-939-1100.

Provider Profile Details

NPI Number
1104195270
Provider Name
Cleveland Nathaniel Cockerham
Provider Entity Type
Individual
Gender
Male
Address
320 E Lee Ave, Yadkinville, NC 27055-8132
Phone Number
704-939-1100
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
December 20, 2011
Last Update Date
December 20, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 E Lee Ave
Yadkinville, NC 27055-8132
Zip
27055-8132
Phone Number
704-939-1100
Yadkinville, NC 27055Get directions →

Provider Business Mailing Address Details

Address
284 Executive Park Drive
Suite 100
Concord, NC 08025-1894
City
Concord
State
NC
Zip
08025-1894
Phone Number
704-939-1100

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cleveland N Cockerham Jr.?

The NPI number of Cleveland N Cockerham Jr. is 1104195270. It was assigned on December 20, 2011 and is currently active in the NPPES registry.

What is the specialty of Cleveland N Cockerham Jr.?

Cleveland N Cockerham Jr. is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Cleveland N Cockerham Jr. practice?

The practice location is 320 E Lee Ave, Yadkinville, NC 27055-8132. The office can be reached at 704-939-1100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104195270 directly on the NPPES registry website.

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